Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.
Read our methodology →40
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
6,770
Total Claims
$463K
Drug Cost
650
Beneficiaries
$712
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 218,535 Nurse Practitioner providers
+1646%
Opioid rate vs peers
66.1% vs 3.8% avg
-39%
Cost per patient vs peers
$712 vs $1,174 avg
-58%
Brand preference vs peers
3.7% vs 8.9% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
66.1%
Opioid Rate
4,472
Opioid Claims
$203K
Opioid Cost
4.0%
Long-Acting Rate
This provider's opioid prescribing rate of 66.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 250 claims · $239K
Generic: 6,520 claims · $224K
Patient Profile
66
Avg Age
64%
Female
1.79
Avg Risk Score
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About